<Unavail>

LBN: Growing Child Pediatrics, Pa
<Unavail> is an health care organization with primary practice located at 11130 Capital Blvd , Wake Forest NC 27587. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Growing Child Pediatrics, Pa can be contacted via phone (919) 488-4094, or through Enochs, Jean Mathews via phone (919) 741-9014.

Contact Information

Primary practice address
11130 Capital Blvd Wake Forest NC 27587
Phone: (919) 488-4094
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Enochs, Jean Mathews PHARMD
Phone: (919) 741-9014

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 11756 North Carolina

Profile Details

NPI number 1245651686
LBN Legal business name Growing Child Pediatrics, Pa
DBA Doing business as <Unavail>
Authorized official Enochs, Jean Mathews PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2014
Last updated Jan 14th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245651686 NPPES
Other 2141143 PK

Popular Providers